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I would be confused too. How a dietician could say that anything over 800 calories will make you gain weight is just ridiculous. Here in the UK it is guided at 2000 calories a day for an active woman and 500 calories more for a active male per day. For information - To maintain my weight I need to eat around 1600 calories a day. Anything less and I drop weight. I don't exercise, just walk and apart from one day a week where I volunteer, I am retired. I still have a fair restriction on my sleeve. So my advice to you would be go back to the dietician, check the facts, ask for a diet sheet and if they want you on 800 calories it must be so you can drop quickly. It does not sound sustainable if you are active. I could do this diet for a short time because I cook from scratch, log everything religiously and can cook and plan ahead. So this is what my 800 calories would look like - Breakfast, 2 eggs scrambled in 1 calorie spray oil [ PAM ] and 200mls of full skim milk for my coffee Lunch, 2 cups of Vegetable soup made without starchy vegetables, so no potatoes Evening meal, 1 x 6 ounce chicken breast, side salad with calorie free dressing and a 7 ounce jacket potato I hope this helps

@JamieLogical are you counting steps daily or going for distance? I need to go back to the basics of eating after surgery. I’m like you and can’t eat a lot of food for a meal and count that as a blessing. I’m recently dealing with a strained groin and doing pt for it. I’m getting frustrated because I’m starting to gain my weight back. There is always an obstacle for me to go through on this journey. Hoping and praying to get motivated soon!

How beneficial are Protein and Multivitamins to losing weight? I’m not doing either at the moment and I’m noticing that I’m not losing any weight

Hi Meg! I had a lapband for 14 years and successfully kept off 100 pounds. I was never hungry with it. Sadly, it died in 2023 and had to be removed. The first weeks without it were glorious-- I was able to eat things I missed--- salads, brocolli, bagels. I told myself I would stil eat smaller meals but it was impossible without my tool. I started eating bagels weekly, would have a second slice of pizza, etc. I tired to keep my calories to 1500 but even then I was still eating more. than the 800 cal a day with the band. The weight packed on quickly. I gained 30 pounds in 4 months. And all 100 pounds within 10 months. I totallty failed. With the added. weight, came all of the medical problems again. My blood pressure went up, I had the rashes and skin rub, my plantar facuitis made it impossible to walk far.I hated myself again. I was finaly approved for a revision and converted to RNYGB a week ago. I am taking my life back and only wish I had pushed for a revision at the get go.

Congratulations on reaching your goal (& yes being 0.2lbs off is still goal in my book). My goal weight was the lowest weight I always get to before slowly but surely bouncing back from over the years (well until the last few years when I could barely lose 5kgs let alone the weight I needed to lose to get to that goal). It was the weight I enjoyed being at and felt good at being. I just couldn’t maintain it. When I exceeded my goal weight I was actually trying to work out my maintenance but just kept losing though very slowly for another 11 months. I decided, I’ll just see where I stop while still trying to work out maintenance. Of course I know now I got to a weight that was my new set point (thank you surgery). It was the weight my body wanted to be at & had nothing to do with a weight I wanted to be at. It’s also a weight that doesn’t require me to restrict my calorie intake or exercise more than I want to or enjoy doing to maintain so yay! Instead of setting a new goal weight why not just see where your body settles. You could lose those two stone or you could lose more or less. Regardless it will be the best weight for you. You’ll naturally be slowly increasing your calorie intake and discovering the activity levels you’re comfortable with anyway & wait till you see where you end up. People can continue to lose for 18 months or more so you have time. Remember, if you force yourself to lose more than your body wants, you’ll continue to battle to maintain that lower weight.

Wholeheartedly with you on this. I was fit and in shape my whole adolescence, I had both my kids and stayed slim and never tracked anything. I worked out hard, ate well, prioritized protein and had fun on the weekends and that worked for me for over a decade and two pregnancies. My weight ballooned up all of a sudden and kept going up and never stopped, and no matter what I did I was never able to lose weight. I had a very bad ankle injury 2 years ago that caused even more weight gain (33 lbs) on top of what I had already gained and due to the injury my mobility was greatly affected and my weight was spiraling out of control. Even at my highest weight I worked out 5 days a week and ate well and Nothing! So I understand your frustration fully. The only thing that worked was the VSG, the pounds melted off like butter and I regained control. If I were to go back in time, I would track everything I ate to figure out where the issue lay, I would weigh myself multiple times a week and see what the scale is telling me. I would do this before jumping on the surgery wagon. I wish I did that, because no matter how much I worked out and how well I thought I was eating, I was doing something wrong, and the surgery outcome proves it. Now that is my own experience, I am all for living worry-free and being intuitive, however these tools can give us great insight until we are where we need to be. I never weighed myself regularly (went by how my clothes fit), now I do. I never tracked my calories, now I do a few times a week just so I don't go off track again. There are days where I don't track because I know roughly how much I'm eating, and some days I do just for QA. Again, calories from here and there add up, so it's good you're aware of that. Also, there are other tools out there (GLP-1s if you're willing) that can rev up your metabolism and help the weight loss start again. With all that being said, you are doing amazing and it is important you don't lose sight of that ♥️

Hi, I just had a four year surgiversary yesterday. In the first two years I made it down to 185-187 from 252. I did the calculations, and that was only about 25%-26% of my body weight lost. Doing the research, I've found that anything less than a 50% weight loss in the first two is generally considered failure. I maintained around 185-190 for over a year, and then gained 20 pounds seemingly overnight without changing much--we all have our lapses, but this was not enough to explain a 20-pound weight gain. Also, I am approaching The Change, so maybe this is part of that. All I know is I'm frustrated, and I'm not even sure that my initial surgery was successful. I guess I'm asking what other members of The Order Of The Sleeve who got sleeved at late 40s-early 50s have experienced. I plan to talk to my PCP, but what do you think? Should I consider revision based on the initial results? Would it even be worth doing at this point?

Not to dis on your friend, but that's just not how this works. The ski slope chart itself may be about what your weight loss looks like for many people, but I promise you, you are losing fat the entire time. You just can't overcome basic physics. Think about it. If you eat less calories than you burn, your body has to make up that difference from somewhere. Even the leanest people on the planet have something like 40,000 plus calories of fat stores. This is what your body uses to stay alive when intake is less than output. Do the math: Your Total Daily Energy Expenditure (TDEE), is made up of your Resting Metabolic Rate (RMR), your Exercise Activity Thermogenesis (EAT), and your Non-Exercise Activity Thermogenesis (NEAT). The average normal sized person has a resting metabolic rate somewhere between 1200 and 1800 calories. It's even higher for overweight and obese people. This is just an estimate, but yours is probably somewhere around 1900-2000 based on your height and current weight. EAT obviously can vary quite a lot from basically nothing if you don't workout, to well over a thousand calories per day if you exercise a lot. NEAT is important as well. The basic idea is that very few of us are completely sedentary. We are moving around cooking, cleaning, doing chores, etc. This is what we sometimes call "Activities of Daily Living". This tends to add another 15% to 20% to your overall calories for most people. The point of me adding all that is because very few people really understand how many calories their body needs per day just to stay alive. If your body needs 3000 calories per day and you are only consuming 800, then the rest of your energy needs for the day have to come from your tissues. If we do things right, the vast majority of that will come from fat, though no matter how hard we try, some of it will come from muscle tissue. Regardless, (and here's the point of all this), there is never a period of time when eating a very low calorie diet like we do after bariatric surgery, when you just lose water weight, or stop losing fat. Early on, you will lose a lot of water weight, but what you are losing is not JUST water. Later, you may experience stalls, but that's not a period of time when you stop losing fat. Instead, you may be putting more water weight back on (this IS part of the healing process), but you're still losing fat underneath that water gain. Note that there will be other times when your weight plateaus or even goes up some. This is 100% normal and not a cause for concern. If you are following the diet plan your surgical team sent you, you WILL lose fat. It's impossible not to. This is why I said it's just not healthy to weigh yourself daily. Scales LIE. They don't measure our amount of fat loss, they just measure weight, and weight is made up of so much more than just fat.

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.

I too am at the 10 year mark and I've gained it all back!!! I feel horrible, can't breath if I move around too much. I'm 70 years old now and I'm going to talk to my Dr as to what I can do

I can bend, stoop and squat to tie my shoes while fully supporting my weight without having to bend forward (if that makes sense?). Before WLS, I suffered a very bad foot injury that caused a lot of my weight gain, one of the things I couldn't do is squat and tie my kids shoes or mine, had to either sit down and do it or bend my body forward with my backside for the whole world to see (not very demure nor mindful LOL). My Achilles can now support my weight squatting down and my knee caps don't feel like they're going to pop out of their places. I can also sit kneeling down and not feel immense pain and tightness. My knees feel much lighter and my injured foot feels much better too.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

Oh, I forgot to mention for breast cancer if someone is considering reconstruction afterwards, which I am, the cosmetic surgeon said there is no rush for his part. They are going to put in expanders during my mastectomy and they can stay in a pretty long time safely. This means that I can wait until I reach my goal weight to do the cosmetic part. The way it works. Is they put in the expanders in and they are like deflated balloons that are sewn to the chest wall and slowly inflate them a little bit at a time each week until you find a size that suits your body. But if I’m still actively losing, that may be too big so they can also deflate it if I want to until I find a size that is comfortable for me and my body is settled and then schedule the surgery. Since that’s just the cosmetic part, the cancer will already be gone. Well, I know that when I lost weight with the sleeve, I had bounced back weight. So I think I’m going to stick with the expanders for a while and just make sure that my body doesn’t change before I commit to something in a surgery. They did say that if you gain a significant or lose a significant amount of weight and the implant shifts or whatever that they will do surgery again, but of course that’s costly and painful and I’m already just about sick of doctors so I’m sure by then I won’t want to do that. Anyways, that is an option someone else may want to consider as well. Some doctors tried to push doing both parts of the surgery in one, skipping the expanders and just putting the implants in right away, but my doctor did not recommend that for my situation.

Give yourself time! When you press the brake in your car, it takes time to come to a complete stop. The same is true when you try to go from losing to maintaining. It's hard to know immediately if you are eating the right amount, especially with a significant amount of exercise like you're doing. As you are learning, you've got to EAT to fuel that level of activity and it can be stressful for us formerly fat people to eat at levels that at one time would have led to weight gain. Track things for a month or so and see where you end up. If you continue to lose, then you obviously need to eat even more. If you seem to be maintaining within a few pounds (keeping in mind normal fluctuations), you're probably where you need to be. If, heaven forbid, you do start to gain again, just ease off a tiny bit on the calories and you'll stabilize. Whatever you do, don't stress it, because you now have all the knowledge and tools to stay at the weight you want!

yea maintenance takes A LOT of getting used to since nearly all of us have never been in this position before - or haven't in years. I was always gaining weight or trying to lose weight the whole time I was obese. if you are maintaining on your current level of calories, then stick with that until it's no longer working - and then adjust up or down as needed. Calorie levels change if your activity levels change, or as you get older, or whatever. What I did for a long time was set an "oh crap" weight (for example, 160 lbs) and once I reached that, it was all hands on deck until I was safely back in my safe zone again. So something like that might work for you, too. But yes, maintenance is definitely hard to get used to!

Sorry I have been MIA guys! I was out of town for a long weekend for a friend's 40th birthday celebration this past weekend and work was crazy before that, trying to prepare to be out. @Justarwaxx I hope everything went well with your surgeon. I feel like I have been losing weight slower than most too so I get your pain and feeling of unrealistic expectations put on you. Just remember that your still losing and your journey is exactly that... YOURS and it's yours alone. @ShoppGirl I'm so sorry to hear about your struggles with cancer; I hope the treatments are working and going well! We appreciate you letting us in and sharing your story. It's great that that you are mostly feeling okay. I'm sure it has to be hard balancing managing your health in multiple ways at the same time. I'm glad we have this community to help support you! I went a little overboard with eating this weekend because there was so much food and alcohol; I think I did okay at meals but there was a lot of snacking. I am used to having my husband with me when I go out, because he is willing to split everything thing with me, though I had one friend that would do it sometimes. I didn't gain weight, but I also didn't lose any weight. I am trying to be super good today to help me get back on track and back in my normal eating routine.

I think your awareness and attitude are very commendable! Definitely a lesson for me for the future, I am also inclined to all those bad habits myself, so will have to really keep an eye on things. Some people preach the "don't weigh everyday " mantra, but this is a great example of why weighing regularly is in fact a good idea for those of us that just have to look at food and gain 10lb!! 😆 You have got this! You know what and how! 🤗

I'm starting to doubt my decision to have the VSG rather than the Bypass. I keep hearing that the sleeve leads to an inevitable regain and I'd rather not do this surgery just to gain it all back if the bypass is better for long-term weight loss. Because it's the NHS and they only offer two surgeries I can only get VSG or bypass. I only chose the VSG because I fear the complications my mum had with the bypass. Is it inevitable that I will gain it all back? Is it too late to change my mind about the surgery? I really don't know what to do!

Well, we are all different so take this with a grain of salt, but I was the same BMI prior to my preop diet as you are now so relatively close and I just looked back at my weight log and Iwas losing about 6 pounds per week on average in the beginning, but I also had the SADI which is quite a bit more aggressive than the sleeve or even the bypass so my loss statistically should’ve been more rapid than yours with a sleeve. Frankly, I think that you are doing very well with losing a pound a day and I wouldn’t be too shocked if it does slow down a bit. It definitely will not be a perfect line where you lose the exact same amount every day though. There may be times when you even gain a pound or three and hold it for a few days and then one day you will just drop those 3+ another pound. But if you only log your weight once a week, even if you must get on the scale every day, if you only look at the once a week or even once a month, your trend will be far more consistent. Some people only get on the scale once a week or once a month. I know I couldn’t do that but it really would be better for your mental health if you could hide your scale and just do what you’re supposed to do and trust the process.

It's a struggle. I have been gaining weight also and need to get this weight off. What is the shake diet you are doing? I may need to jump on this wagon! 😊

I was on ozempic for diabetes and weight management before my sleeve surgery on 4/11/24. I'm in the honey moon phase where the surgery as completely eliminated food noise. Ozempic was a dream drug for me I lost a lot of weight before surgery and I will gladly get back on it if in the future cravings come back and weight gain. I see nothing wrong with it!

Had my pre-op and it was A LOT! I was there for 2.5hours and I know that the surgeon has to be clinical with speaking about what is possible or not. It ended up being a little bit more money due to needing an Internal bra. He said that with the weight gain, weight loss, and breastfeeding two children my skin is thin and without the internal bra he would not do the surgery as the implant would move and be unsuccessful. I am getting 495cc high profile, he said this size would get the size that I want and he feels good about this size healing and looking good. He is one of the best of the best and has been doing this for over 35yrs so I trust him but it was a long appointment and being told that I needed extra things to make this successful because my skin sucked just was shitty to hear and hard when I pick apart myself every single day (which I know is not healthy). Now that the appointment is over and I had a day to stew- I am confident that I will look how I want and getting excited to get them done in 17days!

it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery.

So now I'm just PI$$ed!!!! I've been working with the fairly useless nutritionist to try and gain weight...as you know. Well the nurse practitioner from the surgeon's office called today because they want me to schedule iron infusions (I knew that was coming) and she said I should schedule an appointment to see her because the nutritionist mentioned I'm trying to gain weight and she's confused by that because I'm only barely out of the obese category and I still have more to go before I should be looking at maintaining, nevermind gaining anything. Ok...WHAT??!?! I told her I don't want to lose more because I was already below where I want to be and I'm not feeling great and she said I just need to add muscle. She said I'm losing muscle as well as fat and I need to start eating and doing work outs that promote bulking up to try and gain the muscle back. She said that will actually help me tone up and I'll lose more weight. I asked her how, since muscle weighs more than fat, and she said because I'll still be losing fat while I'm gaining muscle, but I'll also be toning up. She wants me to drop another 20-25 pounds and then add 5-10 back on in muscle. I told her there's absolutely no way that will happen because I don't have the time, energy, stamina, or strength to do it. And do you know what this heifer said???? She said "Well, you can let it slide if you want, but you didn't come this far just to come this far, did you? You're so close to the finish line. Let me help you finish strong." I literally LOST IT. I said "LADY, I FINISHED STRONG 15 POUNDS AGO!!! Since when do you get to decide what our goal weight is? I moved my goal weight twice. First it was 200, then it was 195, then it was 190. I was happy then, and now my body won't stop. I want it to stop. You're the OPPOSITE of helpful." I've never wanted to slap the taste out of someone so bad in my LIFE!!!!

I was going to say some of the same things @Justarwaxx said! I watched a reel on - I think maybe Facebook? - that addressed the notion that some people have on a Monday after having a couple of cheat meals over the weekend and suddenly the scale says they gained 5 lbs - and the fact that thinking like that isn't realistic. You don't gain 5 lbs in 48 hours unless you are eating something like 4500 calories per day and not moving AT ALL. There is a LOT of wiggle room in what the scale reads. When it comes to weight loss, the goal is to create a calorie deficiency so if you are burning more calories than you are putting into your body consistently you're GOING to lose weight. A lot of factors are at play with what the 'scale' reads, including digestion, fluid retention, even hormonal changes. Plus, yes, with the extra exercise you're doing I bet your body is simply trying to find it's consistent expectation so it knows how much energy you need, how many calories it can expect, and how much fat to break down to keep you running like a well maintained machine! Plateaus are GOING to happen throughout this process. It's a marathon, not a sprint, too -- keep in mind that you're going to be losing weight for the next 18+ months more than likely. Just keep at it, and try not to weight yourself too often. I know it's hard, because we want to see those RESULTS, NOW! (At least *I* do ) but... be patient. We're only a couple of months out from our surgeries!